Organization Active NPI

Main Place Treatment Centers LLC.

Doing business as Main Place Treatment Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cumberland, MD
National Provider Identifier
1447624044
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MAIN PLACE TREATMENT CENTERS LLC.
Doing business as
Main Place Treatment Centers
Main Place Treatment Centers LLC.
Practice address
127 S Smallwood St
Cumberland, MD 21502-2908
Phone
(240) 575-1324
Fax
(301) 682-2053
NPI assigned
Nov 19, 2015
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Marie Geyer
Title
Program Director
Phone
(240) 575-1324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X MD Primary

Addresses

Primary practice location

127 S Smallwood St
Cumberland, MD 21502-2908

Mailing address

365 W Patrick St Ste 202
Frederick, MD 21701-4854
Phone (240) 575-1324

Other practice location 1

915 Toll House Ave Ste 102
Frederick, MD 21701-5911
Phone (240) 575-1324

Other names 3

  • Main Place Treatment Centers Doing business as
  • Main Place Treatment Centers LLC. Doing business as
  • Main Place Addiction Treatment Centers LLC. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Main Place Addiction TRMT C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

127 S Smallwood St
Cumberland, MD 21502
Phone (240) 575-1324

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1447624044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014854",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SMALLWOOD ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022908",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Toll House Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015911",
            "country_code": "US",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIN PLACE TREATMENT CENTERS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "240-575-1324"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Place Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Place Treatment Centers LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Place Treatment Centers LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Place Addiction Treatment Centers LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.